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HomeMy Public PortalAbout9682 LIVE OAK AVE_Sewer__ CEeOB -57 APPLICATION FOR PERMIT COUNTY OF LOS ANGELES SEWER-SEWAGE,DISPOSAL DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS 'Z L CASSATT D. GRIFFIN, Supt of Building LOCALITY NEAREST FOR APPLICANT T _ ACROSS ST. e-b - LEGAL s DESCRIPTION LOT NO.7° O AA •'837.303 q Z--7V7 V' OWNER MAILb BLOCK TRACT u/. �� � L37.3G� �' ADDRESS I;0.OF BLDGS. - - SIZE OF LOT NOW ON LOT CITYTEL:NO. USE .. . DINGS DISTRICT 0. I GROUP I — MAP PG '? ADDRESS "7j , 14 CONNECTION DATA CITY dQ,y� � STATION DEPTH ❑ STATE MANHOLE REF EN UPPER ` REGISTRATION N0. ❑ COUNTY LOWER NO. DESCRIPTION OF WIDRK FEE HOUSE SEWER CONNECTING TO G' PUBLIC SEWER @.$3. SEPTIC TANK,SEEPAGE PIT ORTYPE OF CONNEC ON LENGIILFROM' ' PITS AND/OR DRAINFIELD @ $3.00 ?' Y. CURB P.L. M.LeTD P.L. OVERFLOW SEEPAGE PIT,DRAINFIELD EXTN.,CESSPOOL,DRYWELL,MANHOLE @ $2.00 HOUSE SEWER CONNECTING TO I P.C. NO. PRIVATE DISPOSAL SYSTEM @ $1.00 CO.IMP.NO. JOB NO. w CONNECT ADDITIONAL BLDG.OR WORK TO HOUSE SEWER @ $1.00 TRUNK PERMIT NO. OAD PERMIT NO. ALTER,REPAIR OR ABANDON HOUSE SEWER OR DISPOSAL SYSTEM @ $1.00 STATE ENCROAC NT ' PERMIT NO. INDUSTRIA WASTE APP OVAL OWNER'S PERMIT $ 00 S CONNECTION CHARGE FEE AUTHORIZATION TOTAL FEE REIMBURSEMENT FEE ` TRACTOR TO CIONNECT THE ABOVE DESCRIBED EXISTDATE A CONTRACT WITH THE IINGADWELLING i APPROVALS - DATE INSPECTOR'S SIGNATURE TO THE PUBLIC SEWER._ SIGNED THIS DAY OF 19 r NEW HOUSE SEWER OWNER OR- - ---- - - - CONNECT ADDITIONAL OWNERSAGENT _BUILDING OR WORK -SEPTIC TANK,SEEP,PIT(S) - - -•• -• •- --- _• --- ADDRESS " AND/OR DRAINFIELD 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION • AND STATE THAT-THE ABOVE IS.,CORRECT AND AGREE-TO COMPLY_ -CESSPOOL-E] DRYWELL❑ - -- - - - - •- - • WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ` PLUMBING AND SEWERS. ALTER,REPAIR,SEWER OR 1 'HEREBY CERTIFY 'THAT 1 AM 'PROPERLY REGISTERED AND/ORS SEWAGE DISPOSAL SYSTEM - - — LICENSED AS REQUIRED BY LOS ANGELES COU TY AND STATE OF DISCONNECT PLUG AND CAL FORNIA.OR THAT I. AM E .LEGAL OW R OF _THE ABO E ° ABANDON HOUSE_SEWER _ - - D CRIB D RESIDENTIAL PR RTY. BACKFILL SEPTIC TANKS ❑ G SEEP. PIT(S) ❑ CESSPOOLS [I RMIT EE s,• ATI , ROBERT A.'WOOD CK. M. pSH`' .SUPERVISING MECHANICAL ENGINEER "_ - COUNTY-OF LOS ANGELES TEMPLE CITY # 0508 j SEWER PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS SE 0508 9612260002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: SEWER / SEPTIC: S 'BUILDING ADDRESS: ON FILE EXIST OCC GRP: R3 9682 LIVE OAK AV BLDGS. NOW ON LOT: TEMP CA 917802522 ASSESSOR INFORMATION NUMBER: CONNECTION TYPE: ;NEAREST CROSS STREET: 8588-011-031 ORIGINATION: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY LENGTH ML TO PL: STATION: DEPTH: TENANT: MANHOLE REFERENCE: UPPER/LOWER: ISSUED ON: PROCESSED BY: EXPIRES ON: 12/26/96 TC 12/26/97 COUNTY IMPROVEMENT NUMBER: OWNER: TEL. NO: PLAN CHECK NUMBER: FINAL DATE FINA BY: ODE: MORISAKU MASAO;SACHIKO (818) 573-9687- JOB NUMBER: 1012 METRO DR TRUNK PERMIT NUMBER: L � MTPK 917554236 ROAD PERMIT NUMBER: DESCRIPTION OF WORK AFFADAVIT: NO ��� REPLACE/REPAIR 501 OF SEWER LINE WAIVER: NO APPLICANT: TEL. NO: EASEMENT: NO �� RAPID PLUMBING (800) 997-2743- RECORD INE i— RECORD�DATE: SPECIAL CONDITIONS: HIGHWAY/STREET WLDENING:�.--_ Q STATE ENCROACHMENT PERMIT NUMBER: ' ° CONTRACTOR: TEL. NO: b'M,Y4�1'1 _-\•1' 1, P, ,APPROVALS DATE INSPECTOR SIGNATURE RAPID PLUMBING INC. (800) 834-5222 -'. �1 - /% ��1746 ABALONE ST LIC. NO FEE DESCRIPTIION, ,n.QUANTITY• 'UOM: AMOUNT NEW HOUSE SEWER TORRANCE CA 90501 C36 * / �` ���U 01 PERMIT ISSUANCE-�FEE--- ---------- --'� '-27.75`' CONNECT ADDITIONAL 15 ALT/REP HOUSEEWERL)L,._i.j��� 1 00 EAG; �i�CJ1�3Q.3'0 BUILDING OR WORK ARCHITECT OR ENGINEER: TEL. NO: .D//L�,ATOTAL-FEES l _58.05 i- — - - – SEPTIC, TANK, SEEPAGE PIT LIC. N0: i Cc r�; �' � I PIJ AND/OR DRAIN FIELD DDRRYWEI_L _ SEWER MAP BOOK: PAGE: ALTER;, REPAIR, SEWER OR SEWAGE DISPOSAL SYSTEM DISCONNECT PLUG AND ABANDON HOUSE SEWER BACKFILL SEPTIC TANKS = SEEP. PIT CESSPOOL U GRAYWATER SYSTEM 1 * ADDITIONAL DATA ON FILE REPORT ID: DPR266 ROUTE TO BS0508